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General NPI Number Information
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NPI Number | 1235280801
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Entity Type | Organization
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Legal Business Name | PUNT PHYSIOTHERAPY CENTER PS INC
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9228 RIDGETOP BLVD NW SUITE 100
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City | SILVERDALE
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State | WA
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Zip | 98383-8556
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Country | US
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Telephone | 360-308-8449
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Fax | 360-308-8451
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Provider Business Mailing Address
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Address Line | PO BOX 39
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City | SILVERDALE
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State | WA
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Zip | 98383-0039
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Country | US
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Telephone | 360-308-8449
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Fax | 360-308-8451
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MRS. CHERYL WALTHER PUNT
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Credential | PT
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Telephone | 360-308-8449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT00003243
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License Number State | WA
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